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Home My Public Portal About5402 PARMERTON AVE_Electrical__ r >eweea DSa ew ll-,m APPLICATION FOR PERMIT DEPARTMENT OFG AND SAFETY ELECTRIC ' COUNTY OFF LOS LOS ANGELES WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL I DISTRICT NO GROUP ZONE PERMIT NO �, ELECTRICIAN t I RECEIVED BY READY FOR DATEISSUED ADDRESS —, /_• FIRST INSPECTION, �� J CITY w TE COUN ICEN 66 NO / ; pip EXPIRES BUILDING �/, PERMIT FEES ADDRESS � // V y ( (� FEE NUMBER EACH LOCALITY ^ /� LIGHT OUTLETS NEAREST CR0989T �l ��1� RECEPTACLES WALL SWITCHES OWNER �. TOTAL OUTLETS Sc S MAIL ELEC RANGES 26 S ADDRESS ELEC HEATERS 23 CITY T6l NO FIXTURES 3 MIBC I HEREBY A (NOWLEDGC THAT 1 HAVE READ THIS . ,. APPLICATION AND STATE THAT TH8 ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOU Nuweaw HORSfiPOWHR ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER Naw MVO HP oveR IHC [wcH OF THE RESIDENTIAL,FEE OPER D RI ED ABOVE ...q 6 25 SIGNATURE O I Ia 2 SO PERMITT6 H 2 3 1 OO INSPE4tTlON RECORD 3 13 1 30 13 So 2 So "A tASF c$ A✓ )eVpi r so 200 3 Do 200 Soo 10 00 Soo 1000 1B 00 OVER 1000 20 DO M G SET/FRED CHANGER-HP WELDERS AC-KVA GENERATORS-KW ,(I TRANSFORMERS-KVA TEMP MOTORS` 75q OF ORIG X J XiLLO'9.ti"Y 1/�Y MOVEDMOTORS (]3° OFORIG ) MIBC SIGNS NO NO TRANS I APPROVALS NO NO LAMPS FOR EACH PERMITGATE INSPECTOR SHAME ' WIRING Sl OO Q CONDUIT FIXTURES 61 00 WIRING SUPPLEMENTARY S0 FIXTURES POWER TOTAL FEE s 3 UTILITYCO NOTIFIED ® FINAL _ 4 r Dee e-n 6-u 1 - APPLICATION FOR PERMIT a DEPARTMENT OF BUILDING AND SAFEPY 1 (,t . COUNTY OF LOS ANGELES ELECTRIC CTRIC OX CHIEF ENGINEER 2 T `l�` DIST RI NO. GROUP ZONE PERMIT N% i NAMfi ♦ )` CADDRESS el InJ� I, /� " v Myy j CITY I Jam. Aj-fl1�E TEL NO 4 RECEIV®BY READY FOR DATE ISSUED COU TY FIRST INSPECTION 1► � CERT NO l BSI RES 1 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY /J%-� LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW PLUGS Flx CROS d CIRCUIT A B C D E F G H w NAME R Z MAIL 14 3 ADDRE O / CITY �ji7/ TEL NO 1 AM THE LEGAL '—SESSOR OF THE ABOVE LOB ANORI zo COUNTY C TIFI O QU/W FICATION f. ' lty- Js e CTeESC Wm I AM THE LEGAL OWI�t OF THE PROP DESCRIBED d ABOVE (1 owmm CORRECTIONS ' J Q ` Z O_ Z _y e. TOTAL NO OF OUTLETS s APPROVALS NO OF FIXTURES S D INSPWftOR S NAME NO OF MOTORS H P CONDUIT NO OF SIGNS TRANS S WIRING NO OF RANGES OR HEATERS S FIXTURES MISCELLANEOUS S POWER A PERMIT FEE 6 UTILITYCO NOTIFIED /l/i✓ �=� TOTAL FEfi FINAL C + WORKERS COMPENSATION DECLARATION ]o00i9DPW 3/9) APPLICATION FOR ELECTRICAL PERMIT f I hereby affirm that I have a certificate cate of consent to self agpya rnsure or a certificate of Workers Compensation Insurance, COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS owe certified copy thereof (Sec 3800 Lab C ) + Policy No Company FOR APPLICANT TO FILL IN JpB ❑Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS 0 C. Certified copy is filed with the county building inspec 18 2 Family, Sq Ft E = $ LOCALITY tion department Multi-family Sq Fi NEAREST CROSS ST Date/j O t Residential Swimming Pools OWNER JR I Z�9 Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WO KERS Outlets Rec—Light__Sw_ MAIL COMPENSATION INSURANCE ADDRESS First 20 /r (Thu permit i need not 6e red dolga d ffie work less )involved by Total No CITY Tel No .] the permd a for one hundred dollar ($100)or lest ) Additional certify that in performance the work for which this RAN CHECK APPLICANT permit n I s a issued shall not employ any person in any manner Lighting Fixtures First 20 _ ADDRESS so as to become subject to the Workers Compensation Laws Additional Do _Appbcant Total No CITY Tel No NOTICE TO APPLICANT If after making this Certificate of Fined Appliances Not Over 1 HP PERMIT _ Exemption you should become subject to the Workers Range— Heater—DW — APPLIGATI� Compensation provisions of the Labor Code you must forth Oven — Dryer W M _ O ADDRE ��VV �(�, with comply with such provisions or this permit shall be _ "Iti deemed revoked Hood — Fan Other— CITY Tel N LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby offDnp _ Room Air COth um that I am licensed under provisions of Chapter 9 — REG NUMBER - Cloe— 0 (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO PRO ESSED BY 7 and Professions Code,and my license is in full fort and effect d 0 Size 8 Type HIS KW KVA or KVAR License Number Lic Clas�� Up to 1 Incl FINAL � Over 1 to IO Incl DATE /I -'e-1/q o VALIDATION Q Contra Dote Over 10 to 50 Incl / K ❑ m exempt under Sec Over 50 to 100 Inc BY il AL B 8P C for this reason Over 100 Services Swbd MCC 8 Ponelboards ' ► y at 0 200 Amp Under 600 V Signature 201 10DO Amp Under 600V F-1CK at 1000 Amp or Over 600 V Exemption for Reg Maint Elect SINGLE FAMILY Temp Power Pole 8 Appurtenances .�. HOME OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor s License Sign with One Branch Circuit _.'� a t Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits Professions Code) B37 45.(8- Ell, os owner of the property will do the work and the M sc Conduits 8 Conductors I ITEM' EMi_ structure is not intended or offered for sale(Section 7044 Other (See Complete Fee Schedule)_ u , Busmess and Professions Code) T13FHL 45 i - Of CONSTRUCTION LENDING AGENCY - i_HErK 4511.03 I hereby affirm that there is a construction lending agency for f �I!1 the performance of the work for which this permit is issued PERMIT FEE (Sub Total) (Sec 3097 Civ C ) Lender s Name PLAN CHECKING FEE I]I]QLI-1]1]1]I Is/I- PERMIT ISSUING FEE d'D Lender s Address t' 4441) 1 PM 12:lll I certify that I have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County , ordinances and State laws regulating Electrical wiring and ,he uthorize epres ntatives of this County to enter upon the abo a- enl red operty for spection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE I + ` Si tura of Permi a Date I I / ®r WORKERS CI have COMPENSATIONDECLARATION of corse pmtoa�=/81 APPLICATION FOR ELECTRICAL PERMIT O 0 rot I hereby affirm that I have a certificate of consent to self cL geyD insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS or a certified copy thereof (Sec 3800 Lab C ) Policy No Company FOR APPLICANT TO FILL IN !OB �../ '1 Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS IQ 1- PPI tr R Q v Certified copy is filedwith the county budding mspec18 2-Family, Sq Ft E — S LOCALITYT �' �f] G tion department I Multi family Sq Ft ST CREASE ST Ili DateApplicant Residential Swimming Pools OWNER OR /� U N, 7 FIRM NAME D 0 CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec-R-Light_Sw— MP.IL ' COMPENSATION INSURANCE ADDRESS (� (This ieblon need not be completed if the work Involved by Total No Additional 20 CITY Tel No the permit is for one hundred dollars (9100) o"r less) t PLAN CHECK I certify that in he Performance of the work for which this APPLICANT permit is issued I shall not employ any person inany manner Lighting Fixtures Fust 20 ADDRESS so as to become subject to the Workers Compensation Lows Additional Total No CITY Tel No Date Applicont Fixed Appliances INot Over 1 HP PERMIT NOTICE TO APPLICANT If after making this Certificate of APPLICATION Exemption you should become subject to the Workers' Range_ Heater—D W _ -- Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W M — ADDRESS with comply with such provisions or this permit shall be _ deemed revoked Hood — Fan — Other-LICENSED CONTRACTORS DECLARATION LICENSE OR Disp _ Room Air Cond Class I hereby aHum that I am licensed under provisions of Chapter 9 REG NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO PR ED BY_ > and Professions Code and my license is in full force and effecl - — 0&/ d Size 8 Type HP, KW KVA or KVAR cJ 0 License Number Lic Class Up to 1 Incl FINAL U Over 1 to 10 Ind DATE VALIDATION Contractor Date _ Over 10 to 50 Incl 0 EJFINAL U am exempt under Sec Over 50 to 100 Inc BY lL B 8P C for this reason Over 100 O. _ t Services Swb111101 Zd MCC 8 Ponelboards Z Date 0 200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V / \/ O Exemption for Reg Moine Elect Os er 1000 Amp or Over 600 V 2SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION f �\ O ACGT.a I hereby affirm that I am exempt from the Contractor s License Sign with One Branch Circuit \ t Law for the following reason (Section 7031 5 Business and,.+ Additional Sign Branch Circuits /� 3307 -32.25 Pro essions Code) '\/V as owner of the property, will dothe work and the /��a Mrsc Conduits 8 Conductors 1 ITEMS structure s not intended or offered for sole(Section 7044 Other (See Complete Fee Schedule)_ / TOTAL 32 . 2.5 Business and Professions Code) GFECi4 32.25 CONSTRUCTION LENDING AGENCY _ GM I hereby affum that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097 Gv C ) , PLAN CHECKING FEE t _ QQQa-0001 lv 6/039 Lenders Name s PERMIT ISSUING FEE 6576 1 AM 8:5+ Lender s Address TOTAL FEE OS I certify that I have read this application and state that the above information is correct I agree to comply with all County ordi a ces and tate laws regulating Electrical wiring and her by uthon re resent ryes of this County to enter upon , th e me d rty for inspection purposes ; SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date ®s